Clark W Pedigo

NPI 1508164062 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1508164062
Gender Male
Enumeration Date 03/08/2011
Last Updated 09/14/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
3302 BOCA CHICA BLVD
BROWNSVILLE TX, 78521-5193, US
Phone (956) 982-1001
Fax (956) 550-9393
Business Location
3302 BOCA CHICA BLVD
BROWNSVILLE TX, 78521-5193, US
Phone (956) 982-1001
Fax (956) 541-2502
Toxanomy
Taxonomy Code 225200000X
License State Texas
License Number 2028090
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According to our database, Clark W Pedigo NPI is 1508164062, taxonomy code is 225200000X and license number is 2028090, license state is located at Texas. Clark W Pedigo physically located at 3302 Boca Chica Blvd, Brownsville TX, 78521-5193. NPI Number Clark W Pedigo has the Individual type.

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1508164062 NPI number is provided on an as is basis without warranty of any kind. 1508164062 is maintained by the National Plan & Provider Enumeration System. The contents of Clark W Pedigo are for informational purposes only.